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Abstract

B a c k g ro u n d: Arterial hypertension (HTN) ranks among the most widespread chronic illnesses that affect adults in industrialized societies. The main goal of this study was to describe the control (inhibition) processes among HTN patients, and to evaluate the dynamics of brain activity while the patients were engaged in tasks measuring the cognitive aspect of self-control. P a r t i c i p a n t s a n d p ro c e d u re: A set of neuropsychological tests (California Verbal Learning Test, Color Trails Test, The Trail Making Test, Controlled Oral Word Association Test), and a fMRI Stroop test (rapid event design) were administered to 40 persons (20 HTN patients and 20 controls). Groups were matched in terms of age, sex, education, smoking history, and waist-to-hip ratio. R e s u l t s: As revealed by fMRI, the HTN patients demonstrate left-hemisphere asymmetry in inhibitory processes. Also around 90% of patients had problems when completing tasks which rely on verbal and graphomotor aspects of self-control. C o n c l u s i o n s: The results suggest that both cerebral hemispheres must interact correctly in order to provide successful executive control. The deficiencies in control and executive functioning, which were observed among the patients, prove that HTN negatively affects brain processes that control one’s cognitive activity.
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Abstract

The paper presents an analysis of factors influencing the accuracy of reproduction of geometry of the vertebrae and the intervertebral disc of the lumbar motion segment for the purpose of designing of an intervertebral disc endoprosthesis. In order to increase the functionality of the new type of endoprostheses by a better adjustment of their structure to the patient’s anatomical features, specialist software was used allowing the processing of the projections of the diagnosed structures. Recommended minimum values of projection features were determined in order to ensure an effective processing of the scanned structures as well as other factors affecting the quality of the reproduction of 3D model geometries. Also, there were generated 3D models of the L4-L5 section. For the final development of geometric models for disc and vertebrae L4 and L5 there has been used smoothing procedure by cubic free curves with the NURBS technique. This allows accurate reproduction of the geometry for the purposes of identification of a spatial shape of the surface of the vertebrae and the vertebral disc and use of the model for designing of a new endoprosthesis, as well as conducting strength tests with the use of finite elements method.
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